Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-30
- Stop
- 2014-03-30
The parties
- Patient
- patient Lucretia Phillis Crooks
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
351eb513-0da1-4f70-2c0f-3aeae0960f9c